Eligible Providers

• Eligible Providers
• Settings
• Assistants

Documentation 

• Documentation Requirements
• Evaluations
• Re-evaluations
• Treatment Plan
• Discharge
• Follow-Up

Medical Necessity for SLP Services

• Oral Phase, Pharyngeal Phase, or Oropharyngeal Phase Dysphagia
• English Language Proficiency
• Language Impairment Classifications Infant/Toddler: Medicaid Beneficiary Birth to 3 Years:
• Language Impairment Classifications: Medicaid Beneficiary 3 – 5 Years of Age
• Language Impairment Classifications: Medicaid Beneficiary 5 through 20 Years of Age and NCHC Beneficiary 6 through 18 Years of Age
• Articulation/Phonology Impairment Classifications : Medicaid Beneficiary birth through 20 Years of Age and NCHC Beneficiaries 6 through 18 Years of Age
• Articulation Treatment Goals Based on Age of Acquisition
• Phonology Treatment Goals Based on Age of Acquisition of Phonological Rules
• Eligibility Guidelines for Stuttering
• Differential Diagnosis for Stuttering
• Augmentative and Alternative Communication (AAC) Devices
• Audiology Therapy (Aural Rehabilitation)
• Evaluation for Central Auditory Processing Disorders (CAPD)

Prescription Requirement

• Who may order therapy services?
• When does the order need to be signed?
• How long are verbal/written orders valid for?

Prior Approval

• Beneficiaries under the Age of 21 Years
• Visit Limitations Beneficiaries 21 Years of Age and Older
• Medical Necessity Visit Guidelines for Beneficiaries Under 21 Years of Age

Treatment 

• Medical Necessity
• Co-Treatment